Daye Miranda, Bonner Paige E, Doulaye Moustapha, Patel Parth
Dr. Kiran C. Patel College of Osteopathic Medicine, Nova Southeastern University, Tampa, USA.
Surgery, Tampa General Hospital Crystal River, Crystal River, USA.
Cureus. 2024 Jul 18;16(7):e64816. doi: 10.7759/cureus.64816. eCollection 2024 Jul.
Video capsule endoscopy (VCE) is used to evaluate the gastrointestinal tract, particularly the small bowel for obscure bleeding, Crohn's disease, and tumors. A rare complication of VCE is the retention of the pill camera. With the expanding use of VCE, it's important to consider the pathology that may lead to retention and approach to treatment. VCE for subacute or intermittent bowel obstruction is considered a contraindication due to the increased risk of retention, however, it may also identify significant pathology. Capsule retention should be treated promptly to prevent complications such as acute small bowel obstruction (SBO) and perforation. This case describes a 51-year-old female who presented with retention of two VCE cameras in the bowel for multiple years. She had intermittent abdominal pain and partial SBOs before the retention. She underwent a successful laparoscopic-assisted surgery removing the two endoscopy cameras and resection of the stenosed small bowel. This case sheds light on the challenges and opportunities in the management of VCE and capsule retention.
视频胶囊内镜检查（VCE）用于评估胃肠道，特别是小肠，以诊断不明原因的出血、克罗恩病和肿瘤。VCE的一种罕见并发症是胶囊摄像头滞留。随着VCE使用的不断增加，考虑可能导致滞留的病理情况及治疗方法很重要。由于滞留风险增加，VCE用于亚急性或间歇性肠梗阻被视为禁忌证，然而，它也可能发现重要的病理情况。胶囊滞留应及时治疗，以预防诸如急性小肠梗阻（SBO）和穿孔等并发症。本病例描述了一名51岁女性，其肠道内有两台VCE摄像头滞留多年。在滞留之前，她有间歇性腹痛和部分SBO。她接受了成功的腹腔镜辅助手术，取出了两台内镜摄像头并切除了狭窄的小肠。本病例揭示了VCE及胶囊滞留管理中的挑战与机遇。
